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81. 发明授权

US07998167B2 End effector and method of manufacture 有权
标题翻译：末端执行器和制造方法
公开(公告)号：US07998167B2
公开(公告)日：2011-08-16
申请号：US11404989
申请日：2006-04-14
申请人： Patrick A. Weizman , Douglas J. Turner , Richard F. Schwemberger , Stephen W. Evans , Dean Bruewer , Gina M. Szweda
发明人： Patrick A. Weizman , Douglas J. Turner , Richard F. Schwemberger , Stephen W. Evans , Dean Bruewer , Gina M. Szweda
IPC分类号： A61B17/00
CPC分类号： A61B10/06 , A61B2017/2905 , A61B2017/294 , A61B2017/320064
摘要： An end effector for use in an endoscopic device including a cup, and a hinge extension formed separately from the cup and connected to the cup. The hinge extension has a pivot for pivotally connecting the end effector to an identical second end effector.
摘要翻译：一种用于内窥镜装置的末端执行器，包括杯子，以及与杯子分开形成并连接到杯子的铰链延伸部。铰链延伸部具有用于将端部执行器枢转地连接到相同的第二端部执行器的枢轴。

82. 发明授权

US07875042B2 Suture anchor loader 有权
标题翻译：缝合锚装载机
公开(公告)号：US07875042B2
公开(公告)日：2011-01-25
申请号：US11744279
申请日：2007-05-04
申请人： David T. Martin , Richard F. Schwemberger , Michael J. Andreyko , Michael S. Cropper , Scott A. Woodruff , John V. Hunt
发明人： David T. Martin , Richard F. Schwemberger , Michael J. Andreyko , Michael S. Cropper , Scott A. Woodruff , John V. Hunt
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B2017/0409 , A61B2017/0416 , A61B2017/0417
摘要： A suture anchor loader comprises a housing with a port. A channel extends into the housing from the port, the channel being dimensioned to receive a surgical needle. A suture anchor is preloaded in the channel with a length of suture connected to the suture anchor and stored in the housing. A push rod is slideably positioned in the channel such that the suture anchor is intermediate the push rod and the port. An actuator is operatively connected to push rod to selectively deploy the anchor into the needle.
摘要翻译：缝合锚装载机包括具有端口的壳体。通道从端口延伸到壳体中，通道的尺寸被设计成接收外科用针。缝合锚固件预先加载在通道中，其长度的缝合线连接到缝合锚固件并存储在壳体中。推杆可滑动地定位在通道中，使得缝合锚固件在推杆和端口之间。致动器可操作地连接到推杆以选择性地将锚固件部署到针中。

83. 发明授权

US07766207B2 Articulating curved cutter stapler 有权
标题翻译：铰接曲线切割订书机
公开(公告)号：US07766207B2
公开(公告)日：2010-08-03
申请号：US11511490
申请日：2006-08-29
申请人： Michael T. Mather , Michael L. Kruszynski , Richard F. Schwemberger , Michael A. Parker
发明人： Michael T. Mather , Michael L. Kruszynski , Richard F. Schwemberger , Michael A. Parker
IPC分类号： A61B17/068 , F16C11/06 , F16D11/06
CPC分类号： A61B17/072 , A61B2017/00473 , A61B2017/0688 , A61B2017/07221 , A61B2017/2927 , A61B2017/2929 , A61B2017/2943 , A61B2017/320052 , Y10T403/32024 , Y10T403/32032 , Y10T403/32311
摘要： An articulating surgical stapler having a proximal end and a distal end includes a handle at the proximal end and an end effector at the distal end for selective articulation to improve access to tissue requiring treatment and ease of use of the present linear surgical stapler. A support shaft connects the handle to the end effector. An articulation mechanism is positioned between the support shaft and the end effector permitting selective movement of the end effector relative to the support shaft.
摘要翻译：具有近端和远端的关节式外科缝合器包括在近端处的手柄和在远端处的端部执行器，用于选择性关节运动以改善对需要治疗的组织的通路以及本发明的线性外科缝合器的易用性。支撑轴将手柄连接到端部执行器。铰链机构定位在支撑轴和端部执行器之间，允许端部执行器相对于支撑轴的选择性移动。

84. 发明申请

US20100106166A1 METHODS AND DEVICES FOR APPLYING MULITPLE SUTURE ANCHORS 有权
标题翻译：用于施加多个固定锚杆的方法和装置
公开(公告)号：US20100106166A1
公开(公告)日：2010-04-29
申请号：US12260414
申请日：2008-10-29
申请人： Michael S. Cropper , David Martin , Jonathan A. Coe , Richard F. Schwemberger
发明人： Michael S. Cropper , David Martin , Jonathan A. Coe , Richard F. Schwemberger
IPC分类号： A61B17/10 , A61B17/04 , A61B19/00
CPC分类号： A61B17/0057 , A61B17/0401 , A61B2017/00663 , A61B2017/0409 , A61B2017/0417
摘要： Methods and devices are provided for deploying and applying multiple suture anchors. In one embodiment, a surgical device is provided having a shaft configured to be introduced into a body, e.g., through a scoping device, and to deliver a plurality of suture anchors, each having a suture attached thereto, into tissue, preferably without the need to remove the shaft from the body. The shaft can be configured to penetrate tissue and to deploy one or more of the suture anchors through the tissue such that the sutures extending from the deployed suture anchors extend through the tissue to allow the anchors to engage the tissue. The surgical device can also include a knotting mechanism configured to secure the sutures attached to the deployed anchors, thereby securing the anchors to the tissue.
摘要翻译：提供了用于部署和应用多个缝合锚的方法和装置。在一个实施例中，提供了一种手术装置，其具有构造成被引入到身体中的轴的轴，例如通过观察装置，并且将多个缝合锚（每个具有附接到其上的缝合线）输送到组织中，优选地不需要将轴从身体上取下。轴可以构造成穿透组织并且将一个或多个缝合锚定件部署穿过组织，使得从展开的缝合线锚延伸的缝合线延伸穿过组织以允许锚固件接合组织。手术装置还可以包括构造成固定附接到展开的锚定件上的缝合线的打结机构，从而将锚定件固定到组织上。

85. 发明授权

US07699871B2 Surgical instrument 有权
标题翻译：手术器械
公开(公告)号：US07699871B2
公开(公告)日：2010-04-20
申请号：US11755454
申请日：2007-05-30
申请人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
发明人： John P. Measamer , Michael S. Cropper , Richard F. Schwemberger
IPC分类号： A61B17/04
CPC分类号： A61B17/0643 , A61B17/068 , A61B2017/00827
摘要： A surgical instrument for applying a fastener to tissue. The fastener includes a male component including a base having a hole, a needle receivable in the hole, and a female component including a base and a recess for receiving the needle. The instrument includes a shaft, a first jaw pivotally mounted on the shaft including a receiver for holding the base one component, and a second jaw statically mounted on the shaft including a receiver for releasably holding the base the other component. The first jaw is moveable between an open position and a closed position. The first and/or second jaw includes a channel for slideably receiving a needle. The instrument includes a mechanism for moving the first jaw between the open and closed positions and an ejector for driving the needle through the hole in the male component, through tissue and into the recess of the female component.
摘要翻译：一种用于将紧固件施加到组织的手术器械。紧固件包括：阳部件，其包括具有孔的基部，可接收在孔中的针，以及包括基部和用于接收针的凹部的阴部件。该仪器包括轴，枢转地安装在轴上的第一夹爪，包括用于保持基部一个部件的接收器，以及静止地安装在轴上的第二钳口，包括用于可释放地将底座保持在另一个部件上的接收器。第一钳口可在打开位置和关闭位置之间移动。第一和/或第二钳口包括用于可滑动地接收针的通道。该仪器包括用于在打开和关闭位置之间移动第一钳口的机构和用于通过组件通过组件并进入阴部件的凹部中的用于驱动针穿过阳部件中的孔的喷射器。

86. 发明申请

US20100065609A1 SURGICAL STAPLING INSTRUMENT WITH DEVICE FOR INDICATING WHEN THE INSTRUMENT HAS CUT THROUGH TISSUE 有权
标题翻译：手术装置用于在仪器通过组织切割时用于表示的装置
公开(公告)号：US20100065609A1
公开(公告)日：2010-03-18
申请号：US12212928
申请日：2008-09-18
申请人： Richard F. Schwemberger
发明人： Richard F. Schwemberger
IPC分类号： A61B17/068
CPC分类号： A61B17/115 , A61B17/1155 , A61B2017/00115 , A61B2017/00876 , A61B2017/07214 , A61B2017/07285 , A61B2090/0811
摘要： Circular stapling instruments for cutting and applying one or more surgical staples to tissue are disclosed. The instruments include various forms of feedback systems designed to provide at least one mode of feedback to the surgeon when the knife has cut through tissue clamped between a staple cartridge and an anvil portion.
摘要翻译：公开了用于将一个或多个外科缝合钉切割并施加到组织的圆形缝合器械。仪器包括各种形式的反馈系统，其被设计成当刀已经穿过夹在钉仓和砧座部分之间的组织时向外科医生提供至少一种反馈模式。

87. 发明申请

US20100065605A1 END EFFECTOR FOR USE WITH A SURGICAL CUTTING AND STAPLING INSTRUMENT 有权
标题翻译：使用手术切割和装订仪器的终端效果
公开(公告)号：US20100065605A1
公开(公告)日：2010-03-18
申请号：US12212938
申请日：2008-09-18
申请人： Frederick E. Shelton, VI , Richard F. Schwemberger , David C. Yates , Richard C. Smith
发明人： Frederick E. Shelton, VI , Richard F. Schwemberger , David C. Yates , Richard C. Smith
IPC分类号： A61B17/068
CPC分类号： A61B17/07207 , A61B90/30 , A61B2017/07214 , A61B2017/07271 , A61B2090/0811
摘要： An end effector for a surgical cutting and stapling instrument. In various embodiments, the end effector may include an elongate channel that is configured to support a staple cartridge therein and which is also operably coupled to a surgical cutting and stapling instrument. An anvil may be movably supported relative to the elongate channel for selective movement between an open position and a closed position wherein tissue is clamped between the anvil and a staple cartridge supported within the elongate channel in response to a closing motion applied thereto from the surgical cutting and stapling instrument. At least one light source may be provided on at least one of the staple cartridge and the elongate channel. The light sources may interface with the anvil to provide a visual indication viewable through a portion of the anvil to indicate a position of tissue clamped between the anvil and the staple cartridge.
摘要翻译：用于外科切割和吻合器械的末端执行器。在各种实施例中，末端执行器可以包括细长通道，该细长通道被配置成在其中支撑钉仓，并且还可操作地联接到手术切割和缝合器械。可以相对于细长通道可移动地支撑砧座，用于在打开位置和关闭位置之间进行选择性移动，其中组织被夹持在砧座和支撑在细长通道内的钉仓筒之间，以响应于从外科切割器施加到其上的闭合运动和装订仪器。至少一个光源可以设置在钉仓和细长通道中的至少一个上。光源可以与砧座接触以提供通过砧座的一部分可视的可视指示，以指示夹在砧座和钉仓之间的组织的位置。

88. 发明申请

US20080275475A1 LOADER FOR KNOTTING ELEMENT 有权
标题翻译：装载元件装载机
公开(公告)号：US20080275475A1
公开(公告)日：2008-11-06
申请号：US11744271
申请日：2007-05-04
申请人： Richard F. Schwemberger , John L. Stammen , Michael S. Cropper , Jonathan A. Coe , James W. Miser
发明人： Richard F. Schwemberger , John L. Stammen , Michael S. Cropper , Jonathan A. Coe , James W. Miser
IPC分类号： A61B17/04
CPC分类号： A61B17/0487 , A61B17/0469 , A61B17/0485 , A61B2017/0053 , A61B2017/0479 , A61B2017/0488 , A61B2090/037
摘要： A device for loading a surgical knotting element on an applicator tool. One embodiment of the device includes a channel dimensioned to receive an applicator tool comprising a coupling. A surgical knotting element comprises a coupling complementary to the coupling of an applicator tool and a suture path. A carriage receives the surgical knotting element. The carriage is moveable in a transverse direction relative the channel between a first position where the knotting element is misaligned with the channel and a second position where the couplings are engaged with one another.
摘要翻译：一种用于将外科打结元件装载在敷贴工具上的装置。该装置的一个实施例包括尺寸适于接收包括联接器的施用器工具的通道。手术打结元件包括与施加器工具和缝合线路径的联接互补的联接件。托架接收手术打结元件。托架可以相对于在打结元件与通道不对准的第一位置和联接器彼此接合的第二位置之间的通道在横向方向上移动。

89. 发明申请

US20080228199A1 ENDOSCOPIC TISSUE APPROXIMATION METHOD 审中-公开
标题翻译：内分泌组织近似方法
公开(公告)号：US20080228199A1
公开(公告)日：2008-09-18
申请号：US11687477
申请日：2007-03-16
申请人： Michael S. Cropper , Michael J. Andreyko , Richard F. Schwemberger
发明人： Michael S. Cropper , Michael J. Andreyko , Richard F. Schwemberger
IPC分类号： A61B17/128
CPC分类号： A61B17/0643 , A61B17/0644 , A61B17/068 , A61B17/1285 , A61B2017/00349 , A61B2017/00827 , A61B2017/0645 , A61B2017/0647
摘要： The present invention generally provides methods and devices for approximating tissue. The methods and devices utilize a device for applying an implantable tissue fastener and a variety of implantable tissue fasteners. The tissue-fastening device can be delivered endoscopically and can be adapted to function along side or in conjunction with a flexible endoscope. In general, the device can include a flexible shaft having an implantable tissue fastener applier disposed at a distal end thereof and a handle for operating the implantable tissue fastener applier disposed at a proximal end thereof. A variety of implantable tissue fasteners can be used with the tissue fastener applier device including single and multi-anchor embodiments.
摘要翻译：本发明通常提供近似组织的方法和装置。所述方法和装置利用用于施加可植入组织紧固件和各种可植入组织紧固件的装置。组织紧固装置可以内窥镜传送并且可以适于沿着柔性内窥镜的侧面或与柔性内窥镜一起工作。通常，该装置可以包括柔性轴，其具有设置在其远端处的可植入组织紧固件施放器和用于操作设置在其近端处的可植入组织紧固件施放器的手柄。各种可植入组织紧固件可以与组织紧固件施加器装置一起使用，包括单锚和多锚实施例。

90. 发明申请

US20080086172A1 SUTURE ANCHOR 有权
公开(公告)号：US20080086172A1
公开(公告)日：2008-04-10
申请号：US11538975
申请日：2006-10-05
申请人： David T. Martin , Michael S. Cropper , John J. Price , Richard F. Schwemberger , John L. Stammen
发明人： David T. Martin , Michael S. Cropper , John J. Price , Richard F. Schwemberger , John L. Stammen
IPC分类号： A61B17/04
CPC分类号： A61B17/0401 , A61B17/0487 , A61B2017/0409 , A61B2017/0417 , A61B2017/0454 , Y10T24/39 , Y10T24/3913 , Y10T24/3916 , Y10T24/3918
摘要： A suture anchor comprises an elongate body having a first end, a second end, and a longitudinal axis extending between the first and second ends. The first end may have a flared geometry. A lateral suture relief is in the elongate body extending from the first end to an longitudinal position intermediate the first and second ends. A hollow tubular portion in the elongate body is longitudinally spaced from the lateral suture relief. A suture is positioned in the hollow tubular portion. The suture has a delivery position parallel the longitudinal axis and a deployed position transverse to the longitudinal axis.
摘要翻译：缝合锚包括具有第一端，第二端和在第一和第二端之间延伸的纵向轴线的细长主体。第一端可能有一个喇叭形几何。横向缝合线浮雕在细长体中，从第一端延伸到第一和第二端的中间的纵向位置。细长体中的中空管状部分与横向缝线释放物纵向间隔开。缝合线定位在中空管状部分中。缝合线具有平行于纵向轴线的交付位置和横向于纵向轴线的展开位置。

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